Management of intestinal fistula after incisional hernia repair
ZHU Tong
LIU Yu-chen
ZHU Yi-lin
WANG Ming-gang
Abstract：Intestinal fistula is a catastrophic complication after incisional hernia repair.Patients are often accompanied by abdominal wall and abdominal cavity infections of varying degrees,and subsequent sepsis,systemic inflammatory response syndrome(SIRS)and septic shock seriously threaten the safety of patients.Different from the conventional treatment of intestinal fistula,the artificial mesh retained in incisional hernia repair increases the difficulty of the subsequent management of intestinal fistula.Abdominal infection caused by intestinal fistula is the initial factor of high mortality.Early diagnosis and timely and effective surgical intervention are the key to reducing the mortality of patients.The management of intestinal fistula after incisional hernia is complicated and challenging.The stepped treatment strategy based on the concept of damage control surgery(DCS)combined with the pathophysiological characteristics of intestinal fistula provides an important idea for the treatment of intestinal fistula after incisional hernia.
Keywords：incisional herniaintestinal fistulaabdominal infectionsurgical interventionsynthetic meshpostoperative complicationsfluid resuscitationnutritional support
Publication Date：2025-03-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 289-294 )